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Thomas
F
Sapp
MD
Contract Details
Thomas Hospital
Facility name
Provider ID
P000001553
NPI
1437131158
Tax ID
630891904
Effective Date
7/1/1995
Last Updated
6/30/2014
Direct Contract
Yes
Term Date
6/30/2014
Status
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_036
AM_036
Location Details
Address
750 Morphy Avenue
Fairhope, AL 36532
United States
County
Baldwin
Phone
2519282375
(
Phone
)
Billing Details
Address
P.O. Box 929
Fairhope, AL 36533
Billing Phone
2514352949
Specialty Type
Family Practice
Map
Address